The holder whose full name is La, Dung T.,come from Mishawaka IN,hold the Pharmacy Intern license(NO.45017496A) which status is Superceded.
| Name | La, Dung T. |
|---|---|
| License Number | 45017496A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Mishawaka |
| State | IN |